Active NPI
Ian Timothy Howard, MFT
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1033239090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 52214
- Practice address
- 2500 Wilshire Blvd
Los Angeles, CA 90057-4303 - Phone
- (213) 639-0269
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 52214 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 52214 | CA |
Addresses
Primary practice location
2500 Wilshire Blvd
Los Angeles, CA 90057-4303
Mailing address
1230 S Holt Ave
Los Angeles, CA 90035-2408
Phone (650) 576-3877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52214 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1033239090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 S HOLT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352408",
"telephone_number": "650-576-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574303",
"telephone_number": "213-639-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "IAN",
"middle_name": "TIMOTHY",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "52214",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "52214",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.